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Licensing details for: 19359

Name: SDORTHODONTICS, DENTAL OFFICE OF SAMUEL A. DEMIRDJI, DDS, MS, INC.

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

7241 PALM AVE
HIGHLAND CA 92346
SAN BERNARDINO county
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Issuance Date

February 27, 2025

Expiration Date

February 28, 2027

Current Date / Time

June 6, 2025
7:21:33 PM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DEMIRDJI, SAMUEL AGOP

Address Not Disclosed

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: DEMIRDJI, MARIANNE C

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: DEMIRDJI, MARIANNE C

License/Registration Type: Dentist License

License Number: 100674 Primary Status: Current - Active

Address :
2700 Colorado Blvd
#263
EAGLE ROCK CA 90041
LOS ANGELES COUNTY

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FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: DEMIRDJI, SAMUEL AGOP

License/Registration Type: Dentist License

License Number: 48447 Primary Status: Current - Active

Address :
7241 Palm Ave
HIGHLAND CA 92346-3294
SAN BERNARDINO COUNTY

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